Shannon Marie Irish, PT

NPI #1083993166 in Edwards, Colorado

Provider Information

NPI Number: 1083993166
Entity Type: Individual
Name: Shannon Marie Irish, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 8, 2011
Last Updated: Oct 19, 2012

Practice Location

Address: 105 EDWARDS VILLAGE BLVD
Address 2: SUITE G201
City: Edwards
State: Colorado
ZIP Code: 81632
Phone: (970) 306-8609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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